ME-02-127PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305. 795 -2204
w /VI-16 // — 32ea — 0(4 - /ft
Date Job Address Tax Folio
Legal Description 44 1 k t / Z Historically Designated: Yes No K
0a70L /.
Owner's Address
Contracting Co.
ssee/Tenet Na 'f ; c* E PA i"41" 4<.4z*. Ceate4aster Permit #
Qualifier C./
State # - kJ3_ P3 Municipal #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION:
itere 4,944
Signature of owner and/or Condo President
FEES: PERM ,51 RADON
APPROVED:
Zoning
Mechanical
Square Ft. Estimated Cost (value)
A
Phone "eV 754-- .j
9 -4 /,/�
ti Address Address / 6 # bf)/. / t fr..9ze
ss# Phone 3e) g '
Competency #
Date Notary as to Contractor or Owner '1 • er
My Commission Expires
C.C. 6 ( d ) 0 NOTARY
Ins. Co.
,3 1 QAJ - At- 7
-
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AII-IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated.
/0 0,
ANYIPLATAtt
, ., a d; .11
BOND
ROOFING
TOTAL DUE • a C 1 #
Building Electrical,
Ca C ) /*° /' 0 1" Plumbing Structural Engineer
ITEM
3ATH TUB
UNIT
•
FEE
ITEM
, SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
3IDET
LIGHT OUTLETS
CENTRAL HEATING
lISHWASHER
RECEPTACLES
A/C (WIND)
)ISPOSAL
SERVICE TEhFCRARY
•
A/C (CENTRAL).
AINKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK -
'..
1.00R DRAIN
SERVICE REPAIR/NETER CHANGE .
.
REFRIGERATiON :
;REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING •
„,
'NTERCEPTOR
, RANGE TOP
:UNDERGROUND TANKS ,.." .::;;
AVATORY
OVEN
ABOVE GROUND TANKS .. -
AUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS.: '
:LOTHES WASHER
MOTORS 0- 1 If
STEAM BOILERS -
HOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
:INK, POT/3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENThLATitt:I..
:INK, RESIDENCE
MOTORS OVER 5- 8 hP
.
TRANSPORTING ASSEMBOEG
INK, SLOP
MOTORS OVER 8- 10 HP. -
ELEVATORS/MALATORS
EMPORARY WATER CLOSET .
MOTORS OVER 10- 25 HP -
•
'FIRE. SPRINKLER SYSTENS„. '--
RINAL --
.
MOTORS OVER 25-100 HP
„_.
.
COOLING TOWERS -.. -
ATER CLOSET
MOTORS OVER 100 FP
VIOLATION
NOIRECT WASTES , _ . . -- .
.
•
A/C WINDOW
REINSPECTION
ATER SUPPLY TO:
AIR CONDITIONERS
•
A/C UNIT - .. -.:-. ' .....,
-
-
STRIP HEATER -
.
FIRE SPRINKLER ..: -
:GENERATORS TRANSFORMERS
'
HEATER-NEW INST. -
GENERATORS TRANSFORMERS .
HEATER,REPLACE --'.--
GENERATORS TRANSFORMERS
•
LAWN SPRINKLER-WELL
SPECIAL PURPOSE
SWIMMING POOL •
OUTLETS COMMERCIAL
WATER SERYICE: : -
'
SIGN TUBES
:WER CONNECTIONS ' -
'ILITY-SEWER
SIGN TRANSFORWRS
•- ....
.
•ILITY-WATER • '
. •
SIGN TIME CLOCK
- •
•
FIXTURES
PTIC TANK .
.
.
ANTENNA
LAY
TELEVISION CUTLETS
AINFIELD, 4" TILE/RES.
--
VIOLATION
W & ABANDON SEPTIC TANK
.
REINSPECTION
AKAGE PIT CU. FT.
TCH BASIN
, '
. .
SCHARGE WELL
.
WESTIC WELL
EA DRAIN
,.
OF INLET
AR WATER HEATER '.
lE STANDPIPE
X. PIPING
•
01 SPRINKLER SYSTEM
;RANGE
'ER
SET (GAS)
; PIPING
r
.
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN AivocAlioN FORPOILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/16/2002
Applicant: VA,,e sf� � .
Owner:
ST
1 �e� 'red
JOB ADDRESS: 602 NE 96
Contracto
Local Phone:
Parcel # 1132060141410
e 9-4.1t4*4
Permit Status: Approved Permit Expiration: 3/15/2003 Construction Value: $51,697.00
Work: RE- TROFIT INTALLATION OF A 70 TON YORKS AIR COOLED CHILLER
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
Signed: ( 7.
X Signed:
U" . 1 '•' (INSPECTOR)
Mechanical Permit
Permit Number: ME2002 -127
Contractor's Address:
BY:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE
LOC) , .
Total Fees:
Total Receipts: $0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
anyself, my agent, servants or e •!oyes.
(Contractor or Builder) BY:
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 - 795 -2204
Building Inspection Reques
Dates 0��6/�LU? Time
Type Insp'
Permit No.
Address d . F. 11j -
Company
For Inspector:
Approved
Correction
Re- Insp'n Fee
Phone #3 OS- � T s 3 y l 3
amA & Date
-01.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 - 795 -2204
Building Inspection Req
Date / Time
111
Type Insp'n 4 f
Permit No. y �' 2.- (2 7
Name C�� �(- . , o
Address . 452 etic 9e 5/
Compan 6", , - V 1
Phone # ?of— — 2_7 7 R4-(
For Inspector:
Approved
Correction
Re- Insp'n Fee
s 42:42
Name & Date
ga2coel 14.we
PAY
TO THE
ORDER
OF
MIAMI SHORES PRESBYTERIAN CHURCH
602 NE. 96TH ST.
MIAMI SHORES, FL 33138
ONE THOUSAND ELEVEN DOLLARS AND TWENTY CENTS
Miami Shores Village
10050 NE Second Av.
Miami Shores FL 33138 -2382
For: Mechanical Permit
11 1:0631002771: 00366425
BANK OF AMERICA
02992 FIL
63- 27-631
Gde -y�y .�
7 .
DATE AMOUNT
09/30/2002 * * * * ** *1,011.20 **